A nurse is assessing a 7-year-old child who has diabetes mellitus. Which of the following findings should the nurse identify as a manifestation of hypoglycemia?
Increased capillary refill
Shakiness
Thirst
Decreased appetite
The Correct Answer is B
A. Increased capillary refill time is not typically associated with hypoglycemia. It may indicate poor peripheral circulation.
B. Shakiness or tremors are common signs of hypoglycemia, as the body responds to low blood sugar levels.
C. Thirst is not typically associated with hypoglycemia. It may be a symptom of hyperglycemia, where blood sugar levels are high.
D. While decreased appetite can occur with hypoglycemia, it is not as specific a symptom as shakiness. It can also occur due to various other reasons.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. Discarding the first voided specimen is necessary for a 24-hour urine collection.
B. Voiding every hour is not a specific instruction for a 24-hour urine collection and may not be practical or feasible.
C. Cleansing the perineum with a povidone-iodine solution is not necessary for a 24hour urine collection unless specifically instructed by the healthcare provider.
D. Saving the final specimen in a separate container is not necessary for a 24-hour urine collection.
Correct Answer is D
Explanation
A. Mixing the medication with formula may not be appropriate as the infant has vomited, and re-administering the medication immediately may result in overdosing.
B. Giving an antiemetic is not indicated unless ordered by the healthcare provider. It is important to follow specific orders in this situation.
C. Increasing fluid intake may not be advisable immediately after vomiting, especially in the context of heart failure. The infant may require evaluation for fluid status before increasing intake.
D. Administering the next dose as prescribed is the appropriate action unless contraindicated by specific circumstances or healthcare provider orders.
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